IndividualActive
Jill Lightfoot, M.D.
NPI 1609071364 · Dermatology Physician · Davenport, IA
Provider details
- NPI number
- 1609071364
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- R8125 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4700 E 56th St Ste 100
Davenport, IA 52807-2904
Phone: (563) 421-9100
Fax: (563) 421-9129
Approximate (ZIP-level) locationGet directions
Mailing address
4700 E 56th St Ste 100
Davenport, IA 52807-2904
Registry dates
- Enumerated
- 2007-06-20
- Last updated
- 2024-09-20
- Certified
- 2024-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.